Title Clinical relevance of rhinovirus infections among adult hospitalized patients.
Author Fica, Alberto; Dabanch, Jeannette; Andrade, Winston; Bustos, Patricia; Carvajal, Ita; Ceroni, Carolina; Triantafilo, Vjera; Castro, Marcelo; Fasce, Rodrigo
Journal Braz J Infect Dis Publication Year/Month 2015-Mar-Apr
PMID 25523079 PMCID PMC7185615
Affiliation + expend 1.Servicio de Infectologia, Hospital Militar de Santiago, Santiago, Chile. Electronic address: albertofica@gmail.com.

UNLABELLED: Human rhinovirus (HRV) is an emerging viral pathogen. AIM: To characterize a group of patients admitted due to infection by this agent in a general hospital in Chile. METHODS: Cases were identified by RT-PCR for 1 year through active surveillance of patients admitted with severe respiratory illness. Diagnosis was not available during hospitalization. Thirty-two cases were identified, 90% were >/=60 years old or had co-morbid conditions. Human rhinovirus-related admissions represented 23.7% of hospitalization due to severe acute respiratory infections among adults and ranked second to influenza (37.8%). Patients presented with pneumonia (68.8%), decompensated chronic lung conditions (21.9%), heart failure or influenza-like illness (6.3% each). Admission to intensive or intermediate care units was required by 31.2% and in-hospital mortality reached 12.5%. A CURB-65 score >/=3 was significantly associated to in-hospital mortality (p<0.05). Most patients received antibiotics (90%). CONCLUSIONS: Human rhinovirus infections in elderly patients with co-morbid conditions are associated with hospitalizations, requiring critical or semi-critical antibiotics use. A high CURB-65 score was associated to in-hospital mortality.

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